DSM Assessment format to be used in 2nd assessment assignment, and guidelines forcompleting the 2nd intervention assignment): (Note that the DSM assessment format is identical to thatprovided in Pomeroy and Wambach’s The Clinical Assessment Workbook (2003) except for what is shaded below)I. Descriptive and Identifying Information: (some of this will have already been collected by the bookkeepers ifworking in an agency, otherwise, you need to get this info) (The starred items are for you alone):A. NameB. AddressC. Date at birthD. OccupationE. IncomeF. GenderG. EthnicityH. Dress and appearance**I. Personal hygiene**J. Marital/Domestic Partnership statusK. Living arrangements (include names and relationship to client)Omitted phone numbers and address for the sake of this assignmentII. Description of Presenting Problem(s):A. Specific description of the problem (including the client’s primary perception of the primary problem and, ifdifferent, the problem that you chose to focus on; also, if the two are different, provide a brief explanation ofwhy you chose not to work on the problem identified by the client)B. How long has the problem that you chose to focus on existed?C. Has it occurred before?D. What attempts has the client made to resolve the problem? If it is a recurrent problem, what seemed to helpresolve it in the past?E. What kinds of resources does the client have to help resolve the problem? Has he or she sought or receivedany treatment for this problem?F. Why did the client seek help now?G. When asked the miracle question, or a functional equivalent, what is the client’s “ideal vision” of what theywould like their life to be like?H. According to the change framework handout, what stage of change is the client at and on what basis did youmake this determination?III. Developmental History (NOTE: For adult clients, little detail is usually sought in this section other than possiblyasking if there was anything unusual about their early years. For children, the following information isusually gathered from their parents or primary caregivers):A. Was the pregnancy planned?B. Were there any problems during the pregnancy?C. Were any medications or other substances used during the pregnancy? If so, what and when?D. Were labor and delivery uneventful? If not, what happened?E. Was the child born with any unusual medical conditions or physical problems?F. Did the child have a consistent caregiver during the first two years? Who?G. If known, what was the predominant parent-infant attachment pattern?H. Did the child crawl, walk, talk, and toilet train at the expected times? When?I. What opportunities did the child have to associate with same-age peers?J. Has the child incurred any significant problems or delays in school?IV. Mental StatusA. Cognitive Functioning:1. Does the client seem to be of normal intelligence?2. Is the client oriented to person, place, and time? How can you tell?3. Is there evidence of logical problem-solving thinking or capacities? How can you tell?4. Does the client seem preoccupied by anything? If so, what?5. Is there evidence of delusional thinking? If so, are delusions bizarre (include description of specificcontent)6. Is the client’s thinking coherent and goal directed? (How can you tell? Speech pattern & content)7. Does the client exhibit good judgment? (How is that demonstrated? If poor judgment, how is thatdemonstrated?)8. Does the client show any memory problems? If so, are they immediate, recent, or remote?9. Does the client report hearing or seeing things that others don’t seem to hear or see? Do you observe anybehaviors that indicate client listening to an internal voice or seeing things that you don’t?10. Is there anything unusual about the client’s manner of speaking?B. Emotional functioning:1. What emotions does the client describe in relation to the presenting problem?2. Do the client’s emotions appear to be congruent with the client’s thoughts?3. How has the client been feeling the majority of time over the past year?4. Has the client’s emotional state created difficulties for the client recently? Over the past year?5. How stable are the client’s emotions during the interview?6. Does the client exhibit any blunting or flattening of affect?7. Does the client seem unusually animated or expansive in his or her expression of emotions?C. Physical functioning:1. Does the client’s level of energy or activity seem unusual (e.g. lethargy or hyperactivity or normalrange?)2. Does the client display any odd or peculiar motor behaviors (e.g. motor and/or vocal tics, mannerisms, orstereotypical movements)?3. Does the client report any medical conditions or problems? Identify and describe thoroughly.4. Has the client been examined by a physician during the past year? Who and where and when? Results ofthe exam?5. Does the client take any prescription medications on a regular basis or irregular basis? What, how much,prescribed by whom? Do they work, not work? Side effects? Positive effects? Negative effects?6. Does the client take any over-the-counter medications on a regular basis? What, how much, how often?7. Does the client present with any disabilities? Which ones, degree of disability, special needs.D. Substance Use*:1. Does the client use alcohol? If yes, what kind, how often, how much at one setting?2. Does the client use any other substances? If yes, what kind, how often, how much?3. Has the client experienced any social (including relationships both casual and intimate), occupational, orlegal problems associated with his or her use of alcohol and/or other drugs?4. Has anyone ever encouraged the client to stop or cut back his or her use of substances?5. Has the client ever been treated for a drug or alcohol problem?V. Relational FunctioningA. Family1. Does the client reside with other family/friends? With whom, how long?2. What is the client’s relationship with other family members?3. Does the client’s presenting problem involve any other family members? Who, how long, why? * In this and any other appropriate section, please indicate any rapid assessment instruments used.4. Is there any history of family problems? Have any family members had problems similar to theclient’s current situation?5. Would family members be willing to participate in treatment if necessary?B. Significant other1. Does